Disorders of the Pleura IV

Author: Paul Schipper, MD
Institution: OHSU
Date Reviewed: 2024
Original Case: Stephen C. Yang, MD
Learning Domain: General Thoracic
Learning Objective: Pneumonia, pulmonary sequestration
PowerPoint File: Disorders of the Pleura IV

Learning Goals

• The basic level concepts focused on:
  • General Information and Benign Pleural Effusions
• The advanced level concepts focused on:
  • Malignant Pleural Effusions

Case Discussion Points for Conference

• Differential diagnosis?
• Next steps?
• Indications for surgery?
• Surgical approaches? 

Learning Points

• Work up and management of chylothorax
  • Etiologies – postsurgical and malignant
  • Medical and surgical management
  • Avoid ligation and pleurectomy for malignant causes
• Conservative management of hepatic hydrothorax – address primary issue
• Options for management of malignant effusions – based on performance status